AN APPOINTMENT FORM Fill in the required informations so that we could contact you and book an appointment. Name: * Surname: * Date of birth:(dd/mm/yy) Gendre: MaleFemale Email: * Adress: Telefon: Type of appointment you want to make: EKGInternal chekupLaboratory testsOccupacy medicineEye chekupSailor chekupDriver chekupExamination for carriying and possesion of weaponsExamination for security guardsUltrasoundOther... Additional information or notes: Send the request BOOK AN APPOINTMENT You can also make an appointment directy on the spot, adress: 51000 Rijeka, Trpimirova 2/I +385-51-352-460
